Three Rivers Health And Rehabilitation Center
Windsor, Bertie County, North Carolina · CCN 345404 · For-profit (LLC) · part of Liberty Senior Living (37 facilities, chain average 2.8 stars)
CMS rates Three Rivers Health And Rehabilitation Center 4 of 5 overall as of August 2026. 60 certified beds, 47 residents a day on average. 6 citations on record from the current inspection cycles; no fines on record.
CMS’s ratings
The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.
| Overall | ★★★★☆ 4 of 5 |
|---|---|
| Health inspections | ★★★★☆ 4 of 5 |
| Staffing | ★★★☆☆ 3 of 5 |
| Quality measures | ★★★★☆ 4 of 5 |
| Quality: long-stay / short-stay | 4 / 4 of 5 |
Staffing
| Total nurse staffing | 3.5613 hours per resident per day |
|---|---|
| Registered nurses | 0.4292 hours per resident per day |
| Weekend total | 3.24467 hours per resident per day |
| Nursing staff turnover | 48.9% (registered nurses 20%) |
| Administrators who left | 0 |
Citations from health inspections
Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.
| Survey | Finding | Severity | Status |
|---|---|---|---|
| 2026-01-30 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · tag F0812 |
E No actual harm, with potential for more than minimal harm; pattern | Deficient, Provider has date of correction 2026-02-20 |
| 2026-01-30 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Quality of Life and Care Deficiencies · tag F0690 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-20 |
| 2026-01-30 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2026-02-20 |
| 2024-11-01 complaint survey |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · tag F0755 |
E No actual harm, with potential for more than minimal harm; pattern | Past Non-Compliance 2023-10-27 |
| 2024-11-01 complaint survey |
Ensure each resident’s drug regimen must be free from unnecessary drugs. Pharmacy Service Deficiencies · tag F0757 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-22 |
| 2024-11-01 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · tag F0761 |
D No actual harm, with potential for more than minimal harm; isolated | Deficient, Provider has date of correction 2024-11-22 |
Fines and payment denials
No fines or payment denials on record since 2023.
Who owns and runs it
Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.
| Name | Role | Share | Since |
|---|---|---|---|
| Liberty Healthcare Properties Of Bertie County LLC Organization | 5% or greater direct ownership interest | — | 2025-06-25 |
| Liberty Real Properties, LLC Organization | 5% or greater direct ownership interest | — | 2025-06-25 |
| Three Rivers Health And Rehabilitation Center, LLC Organization | 5% or greater direct ownership interest | — | 2002-10-01 |
| Long Term Care Management Services LLC Organization | adp of the snf | — | 2025-06-25 |
| Liberty Healthcare Management Inc. Organization | operational/managerial control | — | 2002-10-01 |
| Mcneill, John Individual | 5% or greater direct ownership interest | — | 2002-10-01 |
| Mcneill, Ronald Individual | 5% or greater direct ownership interest | — | 2002-10-01 |
| Calcutt, Joseph Individual | adp of the snf | — | 2025-06-25 |
| Miller, Robert Individual | adp of the snf | — | 2025-06-25 |
| Mcneill, John Individual | corporate director | — | 2005-12-15 |
| Mcneill, Ronald Individual | corporate director | — | 2005-12-15 |
| Miller, Robert Individual | corporate director | — | 2024-09-01 |
| Calcutt, Joseph Individual | corporate officer | — | 2025-06-25 |
| Bork, Matthew Individual | operational/managerial control | — | 2007-01-29 |
| Brown, Penny Individual | operational/managerial control | — | 2025-06-25 |
| Miller, Robert Individual | operational/managerial control | — | 2024-09-01 |
| Severa, Jeffrey Individual | operational/managerial control | — | 2025-06-25 |
| Wilson, Jeffrey Individual | operational/managerial control | — | 2002-10-01 |
| Mcneill, Robert Individual | trustee of the snf | — | 2025-06-25 |
| Oliver, Anna Individual | trustee of the snf | — | 2025-06-25 |
| Purvis, Jenny Individual | trustee of the snf | — | 2025-06-25 |
What changed
Nothing has changed in this record since it was first loaded. The next CMS refresh is the next chance.
Tell me when this record changes
One email when the monthly CMS refresh brings a new citation, a fine or payment denial, a rating change, a flag, or a change of ownership for Three Rivers Health And Rehabilitation Center.
Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Bertie County.